| Adult Care Services, Inc. | |
|
4 Clayton Court Dr Saint Louis MO 63131-2524 | |
| (314) 692-0092 | |
| (314) 692-0095 |
| Full Name | Adult Care Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4 Clayton Court Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Zahirul Haque (PRESIDENT) |
| Authorized Official Contact | 3143683422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Care Services, Inc. 4 Clayton Court Dr Saint Louis MO 63131-2524 Ph: (314) 692-0092 | Adult Care Services, Inc. 4 Clayton Court Dr Saint Louis MO 63131-2524 Ph: (314) 692-0092 |
| NPI Number | 1851343883 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 09/17/2013 |
| Medicare PECOS PAC ID | 0941251680 |
|---|---|
| Medicare Enrollment ID | O20050210000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851343883 | NPI | - | NPPES |
| 500967302 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2001008540 (Missouri) | Primary |
| Provider Name | Zahirul Haque |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578536546 PECOS PAC ID: 0840248514 Enrollment ID: I20050110000399 |
| Provider Name | Joan H Mass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295708162 PECOS PAC ID: 0244252112 Enrollment ID: I20051227000010 |
| Provider Name | Monica Y Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457663312 PECOS PAC ID: 7214126325 Enrollment ID: I20110105000534 |
| Provider Name | Mohammad A Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346350196 PECOS PAC ID: 6002701471 Enrollment ID: I20120120000457 |
| Provider Name | Noura Zakari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346614161 PECOS PAC ID: 5799084422 Enrollment ID: I20160502002397 |
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